Co-morbidities associated with various ear nose throat conditions of geriatric patients in a tertiary care hospital

&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Old age is a sensitive phase in which lack of awareness regarding the changing behavioural patterns leads to major physiological and psychological problems. This emphasizes the need for a study on the co-morbidities associated with ENT conditions among geriatric population presented in a tertiary care hospital.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods&lt;/strong&gt;: A discrete study was done among the elder patients (≥65 years) admitted in ENT department. Detailed history was taken regarding their co-morbidities and health problems using questionnaire. Feedback of these patients with respect to their ENT conditions as well as co-morbidities was recorded during hospital stay and subsequent follow-upin ENT outpatient department. Opinion of general physician, neurologist, cardiologist was sought and advices followed for management of co-morbidities. The prevalence of co-morbidities and health problems were subjected to statistical analysis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results&lt;/strong&gt;:  A total of 141 patients (90 male and 51 female) were included in the study. The most common ENT associated illness for the admission was epistaxis (23/141, 16.3%) and vocal cord pathology (23/141,16.3%). The most common associated co-morbidities were hypertension (54/141, 38.2%) and type 2 diabetes (51/141, 36.17%). Symptomatic improvement and patient satisfaction with treatment offered were higher with adequate management of co-morbidity.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions&lt;/strong&gt;: The most common ENT associated illness for the admission was epistaxis and vocal cord pathology which was associated with hypertension and type 2 diabetes. Better control of these co-morbidities improves treatment outcome as well as patient satisfaction, trust with medical field.&lt;/p&gt;</jats:p

Ectopic tonsillar tissue presenting with bilateral arytenoid swelling: A case report

Arytenoid swelling, especially in a male patient presenting with complaints of change in voice needs to be evaluated to rule out malignancy. We present the case of a 60 year old male with a change in voice, bilateral arytenoid swelling, which on further evaluation diagnosed as laryngeal tonsil. Lymphoid hyperplasia presenting with bilateral arytenoid swelling is very rare and should be considered in atypical presentations of larynx

A comparative study of middle ear evaluation by otomicroscopy and otoendoscopy in cases of chronic suppurative otitis media

Purpose: Chronic suppurative otitis media (CSOM) is one of the common causes for hearing impairment and disability. Despite continuous technical improvements, the basic optical principles and their limitations have remained the same over the past three decades. This study was aimed at visualizing and evaluating the middle ear structures with the aid of an otomicroscope and 0, 30 and 70 degree-angled endoscopes in cases of chronic suppurative otitis media. Methods: In this prospective study, 100 patients (63 males and 37 females) above the age of 10 years with CSOM were subjected to both otomicroscopy and otoendoscopy. The visualizations of middle ear structures were compared and statistically analyzed. Results: Middle ear structures were better evaluated with 30 and 70 degree endoscopes (p 0.05) advantage of endoscopes over microscopes was detected in examining middle ear mucosa. However, the microscope was better than a 70 degree endoscope in visualization of the mouth of the retraction pocket. Conclusion: Endoscopy provided a significantly better visualization for all the parameters studied versus a microscope. It is desirable to study the role of the endoscope in more cases of unsafe CSOM and also intraoperatively. [Arch Clin Exp Surg 2017; 6(3.000): 149-155